American Guernsey Association - Application for Registration

Application for Registration
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Note: Animals must be tattooed for online registration.

Animal Information
First Choice Name:
Second Choice Name:
If both names are in use, may club select name?	Yes No
Tattoo Left Ear:
Tattoo Right Ear:
Sex of Animal:	Female Male
Animal's Date of Birth (mm/dd/yy):
Other Information:	Twin With Bull Twin With Heifer Naturally Polled
Sire Registration Number:
Sire Name:
Dam Registration Number:
Dam Name:
Service Data
Service Data:	AI .................. Breeding Date: Embryo Transfer Natural Service ... Breed Date:
Owner Information
Owner Number:
Owner of Dam at Time of Calving:
Street or Route:
City:
State:
Zip:
Previously Unreported Address Change?	Yes No
E-Mail Address:
Transfer Information (For use at time of registration only)
Name:
Street or Box:
City:
State:
Zip:
Owner Number:
Date of Sale:

By submitting this application, I hereby certify to the truth and accuracy of the data given above and to the tattoo given as identification of the animal. I offer this animal for entry in the Herd Register of The American Guernsey Association subject to and in accordance with the regulations imposed by the Constitution and Bylaws of The American Guernsey Association. I accept full responsibility for any damages resulting from inaccurate breeding information. I agree that all records on animals in my herd, whether maintained by me or others, including production records may be obtained and used by The American Guernsey Association in its programs.

For information about the registration application, please e-mail the Records Department or contact the American Guernsey Association.